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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
Hair Restoration With Dr. Milchak

Hair Transplant

Hair transplant techniques have improved dramatically in the past few years. Advances in FUE (Follicular Unit Extraction) techniques provide us the tools to deliver natural results that were not available before.

Hair Restoration With Dr. Milchak

In the past 16 years, Ringpfeil Advanced Dermatology has become one of the largest dermatology practices in the Philadelphia area to treat hair loss in both men and women.

We see over 700 hair loss patients each year. We help our patients find the root cause of their hair condition, we treat their condition medically, and we offer hair restoration to patients who are good candidates for the treatment.

We've built one of the most advanced hair transplant centers in the Philadelphia area. Dr. Milchak, our Director of Hair Transplant utilizes both FUE and FUT techniques, combined with light therapy, stem cell, and PRP treatments.

Dr. Marissa Milchak - Director of Hair Medicine and Hair Transplant

Facial Hair Transplant

Dr. Marissa Milchak is the Director of Hair Medicine and Hair Transplant at Ringpfeil Advanced Dermatology.

Seeing over 700 hair loss patients each year, Dr. Milchak and her team deliver the most advanced medical and surgical hair restoration treatments available today.

Dr. Milchak is a fellow of the American Academy of Dermatology and a member of the International Society of Hair Restoration Surgery.

Dr. Milchak sees Hair Restoration patients at both our Main Line and Philadelphia Center City offices.

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FUE Hair Transplant

FUE - Follicular Unit Extraction - is a relatively newer technique in which the surgeon takes individual hair follicles from a donor area and plugs them accurately in the target area. The donor areas are usually located in the back of the head where most people have denser hair.

Follicular Units

Follicular units

FUT (Strip) Hair Transplant

FUT (Follicular Unit Transplant) hair transplant was the first big leap forward in hair transplant in recent years. Here, a strip of skin is cut from the donor area (usually the back of the head, where hair is usually denser). The extracted strip is then dissected and single follicles are separated and prepared for implantation in the target area. The open edges of the donor area are then pulled towards each other and sewn together creating a narrow scar that is later covered by the hair.

Hair Restoration With Dr. Milchak
Hair Restoration before and after
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FUT - Follicle Harvesting Steps

  • The number of follicles needed is calculated
  • Density in donor area is measured, and strip location and dimension is determined
  • Strip area is marked and shaved
  • Local anesthetic is applied to the area
  • The Dr. makes the incision to remove the the strip
  • The Dr. sutures and close the skin
  • Technicians separate the follicles from the strip and store them in holding solution

Hair Transplant - Insertion by Dr.Milchak from Ringpfeil Advanced Dermatology on Vimeo.

FUE VS. FUT

FUE & FUT - different in harvesting but similar in implantation

Treatment Advantage FUE FUT
FUT Graft survival rate Lower (85%) Higher (95%)
FUT Shaving donor area needed Yes No
FUT Number of grafts from "safest" donor area Smaller Larger
FUT Number of grafts / day Smaller (up to ~2500) Larger (up to ~3500)
FUE Scaring in donor area - shape Dot-like Linear
FUE Scaring Hiding by short hair Hiding by long hair
FUE Recovery time Shorter (a day or two) Longer (two days or more)
FUE Invasive procedure No Yes
FUE Donor area size Broader Limited
Similar Number of lifetime grafts ~6000 ~6000
Similar Target area natural look Yes Yes

Pricing

$5-$6 per graft

Facial Hair Transplant

Facial Hair Transplant

We see a very strong demand for beard transplants. While the transplant to this area raises some challenges, the patient satisfaction for this procedure is extremely high.

The donor area can be hair from an area between the neck and the chin, but in most cases this area can not supply enough grafts to satisfy the desired results. In most cases, most of the hair will be harvested from the occipital scalp (back of the head).

The visible location of the implantation calls for very accurate and artistic implantation. Wrong insertion angles and inconsistent density becomes very visible. The facial hair consists of single and double follicular units that need to grow out of the surface at a 10-20 degree angle.

Most of our patients who are interested in this procedure are 25-35 year old young men who are looking to increase hair density and hair uniformity. Some patients are interested in enhancing specific facial areas such as the sideburns, cheeks, or chin.

Dr. Marissa Milchak performin hair transplant surgery

Hair loss causes and treatments

Forms of hair loss Cause Treatments
androgenetic alopecia male/female pattern hair thinning
hormones, genetics
topical/oral minoxidil
finasteride
spironolactone
PRP( platelet rich plasma)
hair transplant
alopecia areata autoimmune condition in which the body attacks hair follicles topical therapies
steroid injections
light therapy
systemic immunosuppressants
telogen effluvium "stress" hair loss, illnesses, childbirth, surgeries, rapid weight loss, emotional/mental distress time- usually reverses
topical minoxidil
PRP
trichotillomania habitual hair pulling
can be associated with OCD or
other psychiatric conditions
habit-reversal therapy
antidepressants
N-acetylcysteine
PRP
hair transplant (after pulling stops)
traction alopecia habitual hair pulling
can be associated with OCD or
other psychiatric conditions
loose hairstyles
topical therapies
steroid injections
hair transplant (after pulling stops)
lichen planopilaris (LPP) frontal fibrosing alopecia (FFA) inflammation attacking hair follicles topical therapies
steroid injections
finasteride
light therapy
systemic immunosuppressants
central centrifugal
cicatricial alopecia (CCCA)
unknown- genetics? chemicals/heat? topical therapies
oral antibiotics
antimalarials
steroid injections
PRP
hair transplant

Male Baldness Pattern - Norwood Classification System

Male Baldness Pattern - Norwood Classification System

Donor Area

The Norwood Class VII depicts the relatively safer donor area. When planing the harvesting the surgeon applies considerations such as

  • Hair density
  • Hair caliber
  • Hair pigment
  • Changes in hair properties as patient ages
  • Root cause for hair loss
  • Hormones stability
  • Reserves for future treatments

How can we help you?

SKIN

Related Procedures

Body Contouring

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

Didn't feel rushed like most doctor's offices

#12011-04-12 08:58:12

Ability to use computer to fill in info

#22023-11-25

I actually was able to see the physician, the physician assistant and the aesthetician, which was awesome for one visit! It shows that the team works together to provide patients with the best possible results.

#32011-10-04 14:18:20

I liked the modern office look, and how the doctor was very friendly and listened to everything I said.

#42024-05-24

I am very self conscious about my acne but everyone made me feel very comfortable!

#52024-01-12

The thorough exam that Dr. Ringpfeil gave me. The professionalism of the entire staff. Everything from the ambience to the music.

#62024-01-01

I liked all rthe art work that was hanging up in the hallways. I also liked how friendly everyone was. It seemed as though they all wanted to be here. Some times at otjher places the people at the counter can be disrespectful. Not here. The or was very caring and explained the treatment in terms that we could understand.

#72024-03-21

Every one is very nice and attentive!!! The doctor and the assistent took their time to explain my options and answer my questions and concerns...Thanks a lot....

#82010-12-01 14:40:20

I felt the doctor really took the time to listen to me, as well as explain all of the important medical information.

#92024-04-03

The promptness of waiting to see the doctor.

#102023-12-30

What can we do better?

(answers:373)

Couldn't be better!

#12023-10-27

just continue listening which is so important

#22023-12-27

Just continue your good work to keep your credibility in place.

#32010-10-12 10:33:59

maybe classical music on the radio? and some hunting and fishing magazines for the men. but the waiting period is so short it may not matter

#42010-11-08 11:23:38

n/a

#52024-04-02

before prescribing a very expensive treatment, inform the patient you are doing so.

#62024-04-07

My experience in the office today was absolutely excellent

#72023-09-26

I had problems with my insurance. Since you took my insurance information over the phone it might have been nice to know that before I came in so I could have fixed it.

#82011-05-19 10:14:50

I really am not sure how you could improve. The visit was actually relaxing.

#92023-07-12

more availability for appointments.

#102023-07-05

Customer Rating : 4.6

Based on 537 ratings
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